NPI | 1154483071 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 3789) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO 1375) |
Enumeration Date | 2006-12-15 |
Last Update Date | 2024-08-31 |